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患者，男性，22岁。因转移性右下腹痛8小时急诊行阑尾切除术，术中证实为坏疽性阑尾炎穿孔。术后6小时，患者仍感腹痛，躁动不安，未解小便。查体：体温38.5℃，血压10.7/8kPa(80/60mmHg)，面色苍白，皮肤湿冷，心率110次／分，脉搏较弱，腹部稍胀，脐及下腹压痛，轻度肌紧张，肠鸣音减弱。该患者目前最有可能的情况应考虑A、急性尿潴留 B、阑尾残端瘘 C、腹腔内出血 D、腹腔内感染 E、肠蠕动减弱 护理此患者时，应注意要A、密切观察生命体征 B、迅速建立静脉通道 C、及时通知医师 D、嘱患者大量饮水 E、完善术前准备 预防该并发症的最主要措施是A、术前检查凝血功能 B、术前抗生素防感染 C、术前输注新鲜全血 D、术中严格止血 E、术后腹带包扎
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